HomeMy WebLinkAbout1807 PALISADES DR; ; 83-249-53; Permitq\J
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~ XX I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
lie No -3-35-1±3-Class B-lt----
1 hereby affirm that I am exempt lrom the Conl11t·
tor's License Law lor the following reason (Sec. 7031.5 Business and Professions Code: Any city or COtJnty which re-quires a permit to construct, alter, Improve, demofish, or repair any structure, prk>r to its Issuance also requires the ap-
plicant lor such permit to lile a signed statement that he Is licensed pursuant to the provisions ot the Contractor's license Law (Chapter 9 commencing with Sett,on 7000 of Division 3 of the Business and Professions Code) or thal Is ex·
empt therefrom and the basis for the alleged exemption. Any violation ol Section 7031.5 by an applicant for a permit sub· jects the applicant to a civil penalty of not more than live hun•
dred dollars ($500).
D I, as owner of the property, or my employees with wages
as their sole cornpensalion, will do the worl<, and the strut· ture is not Intended or ollered for sale (Sec. 7044. Business
and Professions Code: The Contractor's License Law does
:~~n~o ;~ =:'s~~f~~krt~i::1 :i::~~~r;:~
employees. provided that such improvements are not Intend· ed or ottered !or sale. 11, however, the building OJ improve-
ment is sold within one year of completion, the owner·buUder will have the burden or proving that he did not build or Im-prove for the purpose of sale).
~ I. as owner of the property, am exclustvely contracting
,filt, licensed confr,ctors to construct the project (Sec. 7044.
Business and Professions Code: The Contractor's license Law does no1 apply to an owner of property who builds or im-proves thereon. and who contracts for each protetts with a
contractor(s} license pursuant to the Contractor's license Law).
D As a homeowner I am Improving my home. and the follow-
ing conditions exist: 1. The work is being pertormed prior to sale. 2. I have lived in my home for 1welve months pr1or 10 completion of this work. 3. I have not claimed this exemption during the
last three years.
D lamexemptunderSec. ______ , B& P.C. for this reason ____________ _
D I hereby a.fhrm 1hat I ha~ a cen.,hcate of consent
10 self-insure. or a cert1f1cate of Workers·
Compensation Insurance. Of a cen1hed copy 1hereof
(Sec 3800, Labor Code)
POUCYNO _W:I_l3633C __ _
COMPANY _Br.akk~S_chafni:tz
~y IS hied with the Ctly
0 Cert1hed copy 1s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be compleled if the perm,,
,s fOt one hundred dollars (S 100) or less)
HXcert1ty that in the perlorma.nce of the work. tor
which trus permit 1s issued. I shall not employ any
person In any manner so as to become subIecI to
the Wortlers· Compensa·tIon Laws of California
NOTICE TO APPLICANT If. atrer makm~ this Cert•
hcate of Exemption, you should become subIect l'l
the Wor1'ers· Compensation provisions of the Labor
Code. you must forthwith comply w1lh such provIs1ons or Ih1s pemut. shall be deemed revoked
0 I hereby affirm that there Is a consIructIon
lend•~ ~ency 10< the per10tmance of !he wort{ tor which tl'l,s permt1 Is issued (Sec 3097. C1v1I Code!
Lender s Name Crod::er Bank
lender's Address l fty t v n gacery
s~n Franr.isco. CA 94104
USE BALL POINT PEN ONLY & PRESS HARD --APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS A V. ST. I DATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBE~
RO. ~oloaL/ 1807 PALISADES DRIVE 6/9/83 19503 43p> OWNER'S NAME I 114) ;;;~R;;;;NE
CONTRACTOR CONTRACTORS PHONE • ZONE
~la Developtent Cbrp. Same 714)536-2547
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
808 Adams Ave., Huntington Beach, CA Same 335-113
LOT I BLOCK I SUBDIVISION I Ass::raR PARCEL NO. DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE
C: '2 7,:.._, c; 1 '3"'::, I .,;oO 'lhe Ardritects Group C9170 l 11 loo OlrSC'RtPTION OF WORK ~inrrle Familv Residence DESIGNER'S ADDRESS DESIGNER'S PHONE
714 .Maras Ave., Hunt. Beach 714)960-2476 6/2B/8 D I i:':1Ut1 __ '. --~~\\~'i -. ·---~---F/P F LR ELEV. NO ~c:5 E°f STORIES
v□ NO --
CENSUS TRACT I GP L ANO USE I PARKING SPACE I RES UNITS I GRADl~MIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
y. N~
AREA cu~ v0 NI)? v□ N"F;J Not Valid Un~ M#chine Certified
~.£!?-7 I r I
QTY. PLUMBING PERMIT -ISSUE .. QTY. MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER
A-0 EACH FIXTURE TRAP .,::Y~--:--\ INSTAL L FURN. DUCTS UP TO 100,000 BTU ~ -BUILDING PERMIT 01-00-00-8220 -~-it-. -
\ EACH BUILDING SEWER -1,.,. -~ OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 ~~-,.:::.
\ EACH WATER HEATER ANO/OR VENT a -So BO ILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ~a.I -
\ EACH GAS SYSTEM I TO 4 OUTLETS ;::)_~ BO ILER/COMPRESSOR 3-15 HP TOTAL PLUM BING 01-00-00-8222 ~-
EACH GAS SYSTEM 5 OR MORE \ METAL FIREPLACE '3 :9 ELECTRICAL 01-00-00-8223 ,,..,_ -
EACH INSTAl .. ALTER, REPAIR WATER PIPE VE NT FAN SING LE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILE HOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??O
TOT.t.L MECHANICAL STRONG MOTION 80-92-33-0519 '5. f., L/.
TOTA L PLUMBING I 4 ~-I o. -FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8923
QTY. ELECTRICAL PERMIT -ISSUE s--QTY. SOLAR -ISSUE BRIDGE FEE
I NEW CONST EA AMP/SWT /BKR /Cf) -..... o.~. -COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TAN KS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE . Encinitas 80-92-22-0519
I PH 3 PH ' PUMP San Oieguito 80-92-23-0519
REMODEL/ALTER PE R CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS
OVER 200.AMPS liL'r , , ... , -, --
TEMP OCCUPANCY (30 OAYSI "" r:-v--t-.oo. -
r •
TOTAL ELECTRICAL 1-30 -TOTAL SOLAR TOTAL FEES PAYABLE J ~ <=tn~.':)j
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY xp,ration Every permit 1aaued by II•• Bu~ding Oflic1at under tne provr11ons orth11 * ~~ IS AEOUIREO FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAf ALL INFORMATION HEREON INCLUDING THE ~ shall ••pore by hm1tat1on and become null and void If tne bu1ld1ng or work S' O" DEEP 0EMOU1l0N OR CONSTmJCTION OF au "'°'/ltd by such permit 11 not commenced w,tn,-,;; .. ...: _. from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS pe1 '" " 1f t~u or work authC>llil ~ -.ch ~11 suspended or ST OYER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· ah, ""~ at an , er,, ... work 11 ~" of 1110 d•u•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND >f ~l!E I~ ~-O~ONTRACTOR □ APPROVED BY( l\
ID~/4~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND AP
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .) ~ BY PHONE 0 ...,_d
GRANTING OF THIS PERMIT ~ -\.. -
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INSPECTION TYPE i DATE INSPECTOR
BUILDING n
FOUNDATION I/
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING 7
FRAME ll
EXTERIOR LATH lNSULATION tv L
INTERIOR LATH & DRYWALL ltK>-"1~
PLUMBING 1. 1•
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT .M,7.A·~~
TUB AND $HOWER PAN /fT .,.
GAS TEST /
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND l}
ROUGH ELECTRIC
ELECTRIC SERVICE . -' '-
BONDING -'-
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING f3
HEAT -AIR COND. -SOLAR SYSTEMS D
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVEq. J
,/
(\. ,.........,'"'..: .. ;r'f, 'r·\ ~~1'"'1...-,'.,_..(\.,~
I Ii ~ ) I :1 V \\ \ ,' Ii \ -._
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FIELD INSPECTION RECORD ., 1 .._ _:! ~ '..,_ ,1 --0 :;:)"'d-1.f'Ct ... <;:;3> ..... __ ,..,, -
REQUIRED SPECIAL INSPECTIONS
INSPECTION -i REQ IF I INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
---·~ STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
• PIELD WELDING -
HIGH STRENGTH
BOLTS
.--:;
SPECIAL MASONRY
PILES CAISSONS
' f ...
V
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(-Ii(
DATE
INSPECTOR'S NOTES
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JOB SITE FINAL '' I .,.'---..__
PLUMBING •. ,,, .. , .
ELECTRICAL ~-------t----t------r--1 :. ..!:JC ,t :>-l, . · . I ./.,
MECHANICAL __:__------!---+-----t--l ~~ _ , GAS I
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SPECIAL CONDITIONS 7
CERT OF OCCUPANCY ISSUED
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